#postOPP Instructions

WORRYING…Is OUR job. If you have any questions or concerns related to your surgery that we have not discussed or that have not been covered in these instructions, please call! We are always here to help.

Medications

Please review the #PostOPP Medication List below and have all prescriptions filled prior to your surgical date.

Testing & Labs

Hematocrits are performed in office by finger-stick test and are required for patients undergoing liposuction and tummy tuck.
Mammograms are required for patients 40 and over who are having breast surgery.

Diet

You should have a light meal the evening before your surgery. If you’re having anesthesia, don’t eat OR drink anything after midnight the day before your surgery.
DO NOT consume alcohol one week before surgery and one week after surgery. If you are still taking any medications, DO NOT CONSUME ANY ALCOHOL.
A simple diet consisting of high protein and low sodium is recommended after surgery.

General Instructions

Shower with Surgical Scrub on the day of surgery, with focused cleansing of the surgical areas as directed (e.g., the belly button).
DO NOT shave pubic region 1 week prior to surgery if you're having a tummy tuck. Please use an electric trimmer only.
Avoid using body lotions or perfumes on the day of surgery. Deodorant is OK!
Please remove nail polish, gel, and acrylic from both index fingers.
Remove all metal and jewelry piercings. Do not wear contacts; glasses are OK.
Wear loose, comfortable clothing, i.e., sweats and zip-up hoodies.(ideally a robe if you're having a tummy tuck)
NO SMOKING
For women: It is OK to be on your period, and you may wear a tampon to the surgery center. Please notify the preOPP nurse on arrival.

Drain Care (Optional)

If you're having liposuction, a tummy tuck, a breast reduction, or a complex breast revision, you may have drains.
Drains are thin tubes that collect fluid and blood from your incision
STRIP and RECORD your drains daily
- This means "squeegee" the drain tubes to prevent them from becoming blocked and
- Measure the amount of fluid that accumulates in the bulb
The bulb of the drain (aka "grenade") collects the fluid
- It works like a beach ball or pool float with a plug
- The bulb should be squeezed so that it is collapsed and suctioning
Drains are typically removed in 7-10 days. Hang in there!
- A small suture will be trimmed, and the drain easily slides out

What to Expect

Please be available the entire day of your surgery. Be on the look out for a phone call and email from our surgical team. Your surgery time may move to earlier in the day, so please be ready!
On the day of surgery, you will have:
- A urine pregnancy test
- A nicotine test
- An IV placed in the pre-op area (if you’re having anesthesia)
- Netflix
Dr. OPP will check on you beforehand, perform surgical markings, and make sure all of your questions are answered.
Make sure to have a friend or family member present for transportation and support purposes unless you are having local anesthesia only, in which case you may drive yourself to and from the surgery center.
Our emergency line is for patients who are experiencing extreme sudden swelling or pain, have a fever > 101 or chills, have excessive drainage from their incisions, have difficulty breathing, or develop redness at their surgical site.
All of your garments and bras will be provided after surgery.
We got this!

Medication List

Current Medications:

Most of your current medications (thyroid, blood pressure) may be continued.
Most supplements and vitamins are safe to continue. Please let us know.
Birth control is OK unless you are having a tummy tuck, in which case it should be stopped two weeks before surgery.
In addition, two weeks before surgery, please stop taking:
- Aspirin and all NSAIDs like ibuprofen or Advil
- Phentermine or other stimulants like Adderall
- Delayed gastric emptying drugs such as Ozempic, Mounjaro, Wegovy, etc.

Antibiotics/Antifungals/Antivirals:

Keflex (cephalexin) 500mg, one tab three times a day for ten days
Diflucan (fluconazole) 100mg, one tab by mouth for yeast infection prevention. If symptoms persist in 72 hours, repeat by taking one additional tab by mouth (labiaplasty only)

For Pain:

Prescription pain medications
Tylenol (acetaminophen) 500mg, two tabs every eight hours as needed **
Ultram (tramadol) 50mg, one tab every 4-6 hours as needed

For Muscle Spasm:

Robaxin (methocarbamol) 500mg, one tab every 4-6 hours as needed

For Nausea/Itching:

Zofran (ondansetron) 8mg, one tab every eight hours as needed

For DVT Prevention (Tummy Tuck only):

Aspirin 81mg, one tab daily by mouth for DVT prevention for 15 days after surgery

Before Surgery:

Iron (ferrous sulfate) 325mg tab, one tab by mouth daily, start today (only if you have anemia)
Colace (docusate) 100mg, one tab every eight hours, start the day before surgery and continue until pain medications are complete (to prevent constipation)
Over-the-counter medications

Surgery Center Caregiver Instructions

Caregiver Request

An adult caregiver needs to be present for your initial admission and discharge on the day of surgery. The nurse will contact your caregiver when you are ready to be seen in recovery and will then review discharge instructions.

Visitor Rules

One visitor at a time in the recovery area. No visitors in the pre-op area. No outside food for the patient. Visitors may come and go at the nurse’s discretion. If there’s more than one visitor at a time, then they may switch out. No children, please.

Office Hours

The Surgery Center office hours are between 8:30 AM and 5:00 PM.

SoDo is a rapidly growing area with many close attractions for your caregiver to visit.

Phone/Electronic Devices

Please be courteous to others with your use of phones and electronic devices in the waiting area. Guests are encouraged to step outside for extended phone calls. Calls/entertainment may not be on speaker phone. No photos or video to protect other guests’ privacy.

Animals

Service animals only. Emotional support animals and other pets are not allowed in the building.

Smoking

This is a non-smoking property. Smoking is not allowed on the property or in the parking lot.

Recovery Timelines

Labiaplasty

Labiaplasty Timeline

Breast Augmentation

Breast Augmentation Timeline

Tummy Tuck/Mommy Makeover

Tummy Tuck Timeline

Liposuction & BBL

BBL Lipo Timeline

Breast Lift/Reduction

Breast Lift Reduction Timeline

Submental Liposuction

Submental Lipo Timeline

View Instructions for Non-Surgical Procedures